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Undiagnosed Cornual Pregnancy Complicated by Large Uterine Fibroid: A Rare Case Report 未确诊的角性妊娠合并大子宫肌瘤1例
Pub Date : 2023-09-01 DOI: 10.7176/jmpb/73-07
A cornual pregnancy is a rare form of ectopic pregnancy with the incidence rate of 2 – 4% of all ectopic pregnancies. It has a higher mortality rate, which is 6 – 7 times higher than other ectopics. Diagnostic approach can be done by transvaginal sonography and serum β-hcg test, however reaching the diagnosis itself is quite challenging. Due to the greater distensibility of myometrium covering interstitial segment of the fallopian tube, undiagnosed cornual pregnancy usually ends with rupture in 8 to 16 weeks of pregnancy, which lead to significant maternal hemorrhage then hypovolemic shock. Reported case is a 35 years old woman who presented to the emergency room with chief complain of severe abdominal pain in a state of hypovolemic shock. She was admitted for emergency exploratory laparotomy. On exploration, we found a point of rupture at the left cornual area from the 20-22 weeks gestational age sized uterus. The 12 weeks old fetus inside the intact gestational sac was found in the abdominal cavity. The patient then underwent cornual wedge resection, myomectomy and bilateral salpingectomy, since the uterus was not viable for another pregnancy. All procedures were done successfully, and the patient was discharged in a good condition. Keywords: Cornual Pregnancy , Ectopic Pregnancy , Rupture Ectopic Pregnancy DOI: 10.7176/JMPB/73-07 Publication date: September 30 th 2023
宫角妊娠是一种罕见的异位妊娠,发生率为所有异位妊娠的2 - 4%。它的死亡率较高,是其他异位的6 - 7倍。诊断方法可以通过阴道超声检查和血清β-hcg试验来完成,但要达到诊断本身就很有挑战性。由于覆盖输卵管间质段的子宫肌层具有较大的扩张性,未确诊的子宫角妊娠通常在妊娠8 ~ 16周以破裂告终,导致产妇大出血,继而出现低血容量性休克。报告的病例是一名35岁的女性,她以低血容量性休克状态下的严重腹痛为主诉到急诊室就诊。她接受了紧急剖腹探查术。在探查中,我们发现20-22周胎龄大小的子宫在左侧角区有一个破裂点。在腹腔内发现完整妊娠囊内的12周胎儿。由于子宫不能再怀孕,患者接受了子宫角楔切除术、子宫肌瘤切除术和双侧输卵管切除术。所有手术均顺利完成,出院时病情良好。关键词:宫角妊娠,异位妊娠,破裂异位妊娠DOI: 10.7176/JMPB/73-07出版日期:2023年9月30日
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引用次数: 0
An Analysis of The Implications of The Use of E-Cigarette or Vaping Products on Adolescence Health 使用电子烟或电子烟产品对青少年健康的影响分析
Pub Date : 2023-08-01 DOI: 10.7176/jmpb/73-06
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引用次数: 0
How do alterations in epigenetic mechanisms cause intellectual disability? 表观遗传机制的改变是如何导致智力残疾的?
Pub Date : 2022-11-01 DOI: 10.7176/jmpb/72-08
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引用次数: 0
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICE TOWARDS HEPATITIS C AMONG CLINICAL MEDICAL STUDENTS OF CHUKWUEMEKA ODIMEGWU OJUKWU UNIVERSITY (COOU), AMAKU, AWKA, ANAMBRA STATE 阿南布拉州阿马库市楚克乌梅卡市odimegwu ojukwu大学临床医科学生对丙型肝炎知识、态度和行为的评估
Pub Date : 2022-11-01 DOI: 10.7176/jmpb/72-09
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引用次数: 0
Health and Public Health Implications of COVID-19 in Nigeria 2019冠状病毒病对尼日利亚健康和公共卫生的影响
Pub Date : 2022-10-01 DOI: 10.7176/jmpb/72-07
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引用次数: 0
Effects of Crude Oil contaminated Water on the reproductive system of Female Wistar Rats 原油污染水对雌性Wistar大鼠生殖系统的影响
Pub Date : 2022-06-01 DOI: 10.7176/jmpb/72-05
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引用次数: 0
Vitamin C reduced Pausinytalia Yohimbe induced reproductive toxicity in female Wister rats 维生素C降低育因贝菌对雌性Wister大鼠的生殖毒性
Pub Date : 2022-06-01 DOI: 10.7176/jmpb/72-06
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引用次数: 0
H.pylori Infection inhibits Inflammatory Bowel Disease(IBD) by affecting the intestinal flora: A systematic Review 幽门螺杆菌感染通过影响肠道菌群抑制炎症性肠病(IBD):一项系统综述
Pub Date : 2022-05-01 DOI: 10.7176/jmpb/72-04
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引用次数: 0
Stressing Experience and Stigma of Covid-19 Pandemic: Analysis Of Pre-Service Nurses Intention Toward Infectious Diseases Centres in Ghana 强调Covid-19大流行的经验和耻辱:加纳传染病中心岗前护士意向分析
Pub Date : 2022-02-01 DOI: 10.7176/jmpb/72-03
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引用次数: 0
Animal Health Surveillance Data Quality Assessment: The Case Study in Karsa Woreda, Jimma Zone, Oromia, Ethiopia, 2021 动物卫生监测数据质量评估:以2021年埃塞俄比亚奥罗米亚吉马区Karsa wooreda为例
Pub Date : 2022-01-01 DOI: 10.7176/jmpb/72-01
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引用次数: 0
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